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Make a Booking - Lake Imaging Make a Booking Upload a Referral About UsOur HistoryOur Mission and ValuesOur CommunityOur RadiologistsOur PeopleOur NewsOur TechnologyOur Privacy PolicyFor PatientsOur LocationsOur ServicesRequest an appointmentBilling InformationFAQsFeedbackPrivacy PolicyTerms & ConditionsFor ReferrersDigital Image and Report AccessEducation & EventsRequest Referral FormsBilling InformationView All ServicesResourcesFeedbackLocationsGeelong Breast ClinicGeelong - St John of God HospitalGeelong - East CourtGrovedaleBelmontCorioOcean GroveBallarat - WendoureeBallarat - St John of GodBallarat - Ballarat MRIBallarat - Mair StDaylesfordMelton - Unitt StMelton - WestcareMelton HealthNorth MelbourneSunburyBacchus MarshCaroline Springs - Western HighwayCaroline Springs - CentralGisborneKynetonWarrnambool - Western District RadiologyPort Fairy - Moyne Health ServicesGeelong Medical Imaging - HightonGeelong Medical Imaging - NewtownCareersWorking at Lake ImagingCurrent VacanciesOverseas RequirementsContact / FeedbackEnquiry / Feedback - PatientEnquiry / Feedback - ReferrerMake a BookingUpload a Referral Home Make a Booking Make a Booking Please well-constructed the form unelevated to request an visit at one of our sites. Once you have selected your examination, you will be worldly-wise to select the nearest location that provides that service.    When we receive your visit request, we’ll undeniability you to personize the stage and time of your appointment. We will moreover trammels your personal details and wordplay any questions you may have.   *Examination Required Please select one Angiogram (CT) Biopsy/Fine Needle Aspiration Bone Densitometry (DEXA) Cardiac/Coronary CT Computed Tomography (CT) Cone Beam CT (Dental CT) DEXA Whole Body Composition Scan Echocardiography Fluoroscopy (incl. Barium Studies) Mammography MRI - Magnetic Resonance Imaging Nuclear Medicine - SPECT CT OPG (Dental X-ray) PET CT Spinal Injection Ultrasound Ultrasound - Doppler Ultrasound - Elastography (ARFI) Ultrasound - Pregnancy X-ray *Preferred Location Geelong - East Court Melton - Unitt St North Melbourne Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For Bone Densitometry (DEXA) *Preferred Location Bacchus Marsh Ballarat - Mair Street Belmont - South Court Caroline Springs Caroline Springs - West Springs Geelong - East Court Kyneton Melton - Unitt St Melton - Westcare North Melbourne Ocean Grove Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For OPG (Dental X-ray) *Preferred Location Bacchus Marsh Ballarat - St John of God Hospital Belmont - South Court Caroline Springs Caroline Springs - West Springs Corio Daylesford Drysdale Geelong Breast Clinic Geelong - East Court Geelong - St John of God Hospital Gisborne Kyneton Melton Health Melton - Unitt St Melton - Westcare North Melbourne Ocean Grove Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For Ultrasound *Preferred Location Bacchus Marsh Ballarat - St John of God Hospital Belmont - South Court Caroline Springs Caroline Springs - West Springs Corio Daylesford Drysdale Geelong - East Court Geelong - St John of God Hospital Gisborne Kyneton Melton Health Melton - Unitt St Melton - Westcare North Melbourne Ocean Grove Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For Ultrasound - Pregnancy *Preferred Location Geelong - East Court North Melbourne For Ultrasound Elastography (ARFI) *Preferred Location Ballarat - St John of God Hospital Geelong - St John of God Hospital Other (please provide details in comments) For PET CT *Preferred Location Ballarat - St John of God Hospital Caroline Springs - West Springs Geelong - St John of God Hospital Geelong - East Court Kyneton Melton - Unitt St North Melbourne Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For Computed Tomography (CT) *Preferred Location Ballarat - St John of God Hospital Caroline Springs - West Springs Geelong - St John of God Hospital Geelong - East Court Melton - Unitt St North Melbourne Sunbury Warrnambool - WDR Other (please provide details in comments) For Angiogram (CT) *Preferred Location Ballarat - St John of God Hospital Caroline Springs - West Springs Geelong Breast Clinic Geelong - St John of God Hospital Melton - Unitt St North Melbourne Sunbury Warrnambool - WDR Other (please provide details in comments) For Biopsy/Fine Needle Aspiration *Preferred Location Ballarat - St John of God Hospital Geelong - East Court Melton - Unitt St Sunbury Warrnambool - CTCA Only Other (please provide details in comments) For Cardiac/Coronary CT *Preferred Location Ballarat - Mair Street Geelong - East Court Other (please provide details in comments) For Cone Beam CT (Dental CT) *Preferred Location Geelong- East Court North Melbourne Sunbury Wendouree For DEXA Whole Body Composition Scan *Preferred Location Ballarat - St John of God Hospital Daylesford Melton - Unitt St North Melbourne Sunbury Other (please provide details in comments) For Echocardiography *Preferred Location Ballarat - St John of God Hospital Geelong - St John of God Hospital Other (please provide details in comments) For Fluoroscopy (incl. Barium Studies) *Preferred Location Ballarat - St John of God Hospital Geelong Breast Clinic Melton - Unitt St North Melbourne Sunbury Warrnambool - WDR Other (please provide details in comments) For Mammography *Preferred Location Ballarat - St John of God Hospital Ballarat MRI Geelong - St John of God Hospital Melton - Unitt St Sunbury Warrnambool - WDR Other (please provide details in comments) For MRI - Magnetic Resonance Imaging *Preferred Location Ballarat - St John of God Hospital Geelong - St John of God Hospital Melton - Unitt St Warrnambool - NO SPECT CT Other (please provide details in comments) For Nuclear Medicine - SPECT CT *Preferred Location Ballarat - St John of God Hospital Caroline Springs - West Springs Geelong - St John of God Hospital Melton - Unitt St North Melbourne Sunbury Warrnambool - WDR Other (please provide details in comments) For Spinal Injection *Preferred Location Ultrasound - Doppler Bacchus Marsh Ballarat - St John of God Hospital Belmont - South Court Caroline Springs Caroline Springs - West Springs Corio Daylesford Drysdale Geelong - East Court Geelong - St John of God Hospital Gisborne Kyneton Melton Health Melton - Unitt St Melton - Westcare North Melbourne Ocean Grove Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For Doppler *Preferred Location Bacchus Marsh Ballarat - Mair Street Ballarat - St John of God Hospital Belmont - South Court Caroline Springs Caroline Springs - West Springs Corio Daylesford Drysdale Geelong - East Court Geelong - St John of God Hospital Gisborne Kyneton Melton Health Melton - Unitt St Melton - Westcare North Melbourne Ocean Grove Sunbury Wendouree - Howitt St Warrnambool - WDR Other (please provide details in comments) For X-ray PreferredStage01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 Preferred Time Morning Afternoon No Preference Please note we will try and unbend your request weightier we can, however some examinations are only performed a unrepealable times or days. *First Name *Last Name *Date of Birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046 2047 2048 2049 2050 2051 2052 2053 2054 2055 2056 2057 2058 2059 2060 2061 2062 2063 2064 2065 2066 2067 2068 *Phone Number Medicare Number Concession Card Number Email Address Referring Doctor Comments Referral Upload On a mobile device? It is as simple as taking a picture and uploading. You can moreover upload a scanned reprinting of your referral. *SecurityTrammelsEnter the text in the image above. Follow Us For Staff Staff Email Staff Intranet Quick Links About Us News Our People Careers Current Vacancies Contact Us Our Locations Computed Tomography (CT) Magnetic Resonance Imaging (MRI) Pregnancy Ultrasound Mammography Nuclear Medicine Privacy Policy Locations Find Your Nearest Clinic Location © Lake Imaging. All rights reserved. ABN 40 098 499 293 Sitemap Brightlabs